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' ORIGINAL WATER WELL DRILLERS REPORT Do Not Fru rw <br /> Hie Original,Duplicate and Triplicate with the (Sct,ear 7074,7077,Torg 'Water Cade) N? 37297 <br /> REGIONAL WATER POLLU'T'ION _ <br /> ,. STATE OF CALIFORNIA �� State WettN°� _ = ._- _ -- <br /> BOARDN° 5�WOL <br /> ro►rarr.aabrr) Other Well Nrn GL <br /> (1) OWNER: , (11) WELL LOG: <br />' Name /` Total depth _ ti7 9 it Depth of completrd_well <br /> Address 9 J 7 �/ ,2 Is Y /y V Cr Fermrpon Drtnfbr by ruler cbnrcter,rhe of"st"i,rad rnactwe j f <br /> 01 ft m G ft / v�o so ,, <br />' (2) LOCATION OF WELL: <br /> a .4- &a <br /> - e, <br /> CoantTSI?n U/ '7l Owner r number if nay— � S / �;►S <br /> R P D or Sestet No L d U <br /> ' , /! <br /> LyeSc d fn <br /> (3) TYPE OF WORK (cbeck)-- <br /> New ball X Dr.—I; O Recondtoonins ❑ Abandon ❑ <br /> ' if absadommens,describe w derisl sad proerd—in 1 tew 11. . <br /> (4) PROPOSED USE (Check)-* (S) EQUIPMENT: <br /> Domestic El Industrial ❑ Murucipal ❑ Rotary A vjy1[2(\ <br /> ' Irrigation ❑ Test Well ❑ Other ❑ Cable ❑ <br /> Du Well ❑ <br /> (6) CASING INSTALLED- If gravel packed <br /> SINGLE tK DOUBLE Gas' <br /> Demeter from w <br /> (i Dum ! ®711 0!Bon it it. <br /> From/4ft to 2 3 ft <br /> ' Type and azo of shoe or well nag Sue of gravel, ., « <br /> Describe joint t I <br /> (7) PERFORATIONS: <br /> TTpr of parfums'-used <br /> Size of a tet h in <br /> ' Firm h to A ft Pert per sow Raw'per <br /> « ft « .` <br /> (8) CONSTRUCTION: <br /> Was a surfs"unwary sed Prodded? N(Yes ❑ No To what depth <br /> were say■vats sealed asunst pollation? ja�re ❑ No If yes,now depth of terata <br /> From 16 ft to <br /> ' Method of SeAwg C a s e 41 e i, } '" Varb startad Tu Iv' 3 rs Completed ,J if J <br /> (9) WATER LEVELS: WELL DRILLERS STATEMENT -- <br /> ?'bis aurll w+n drilled ander wry Iarrsdrctson swd Ibrs report is IT" to lbs best of <br /> th at wh6ch water was first foond /�Q ft my ikawwled$t belle( <br /> sus 1ere1 before perforating ft NAME dG o r S t <br /> ,Aad*ng level after perforating <br /> ft Pct rm,4r Corpctit,' 1 TYMd or irratslJ <br /> Address <br /> (10) WELL TESTS: 1a L+ 1z I <br /> vas a pump an made? 0 Yea XNa if yw,by whew? <br /> Ysdde gal/ono wAth ft draw down after hn. [S[CNEDI Vets Drager <br /> Teasyreatwe of water Vag•eh®i"1 aalyps genal'? 0 Yes AN. LpK Np � ~~ Dated <br /> Was elretrtt Tor made of wall? ❑ Yee WNa aawa a f.fats qulN OO ■►o PWR Foltff No 2 A 6 4KIM 3 54ti <br />